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Laryngoscope. 2013 Dec;123(12):3206-10. doi: 10.1002/lary.24108. Epub 2013 Apr 25.

Postoperative management following supraglottoplasty for severe laryngomalacia.

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  • 1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.

Abstract

OBJECTIVES/HYPOTHESIS:

To retrospectively analyze the postoperative management and care needs of patients undergoing spontaneous ventilation supraglottoplasty (SVS).

STUDY DESIGN:

Retrospective chart review.

METHODS:

Charts of children undergoing (SVS) for severe laryngomalacia from 2007 to 2011 at a single institution were reviewed. Intraoperative and postoperative management data were collected to review the airway management, postoperative care needs, and potential complications associated with this surgery.

RESULTS:

A total of 65 patients were included in the study. Only three patients (4.5%) required more than an overnight stay in the hospital, and no patients left the operating room intubated. One patient required temporary intensive care unit observation, and the majority (78.1%) demonstrated adequate oral intake within 4 hours of surgery. Comorbidities did not portend a longer hospital stay or slower return to oral intake.

CONCLUSIONS:

SVS with cold-steel instruments is a safe and effective surgical intervention with low complication rates. This study suggests that postoperative intubation or intensive care unit monitoring may not be necessary when using these techniques.

Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

KEYWORDS:

Laryngomalacia; pediatric airway; postoperative management; supraglottoplasty

[PubMed - indexed for MEDLINE]
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